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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY KATHLEEN SHANOR CNP
NPI 1861294621
Nurse Practitioner - Family in Gahanna, OH

Active since March 25, 2025PECOS Enrolled
504 HAVENS CORNERS RD, GAHANNA, OH 43230(614) 533-5300(614) 533-5350 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Mar 25, 2025 (2 updates tracked since 2025).

About Kelly Kathleen Shanor Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KATHLEEN SHANOR CNP (NPI 1861294621) is an individual family provider in Gahanna, Ohio, licensed in Ohio (APRN.CNP.0039680) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1861294621
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY KATHLEEN SHANORCredential: CNP
Location Address504 HAVENS CORNERS RDGahanna, OH 43230-8104
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 533-5300
Fax(614) 533-5350
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2025
Enumeration DateMarch 25, 2025
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1861294621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0039680
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.531516 (OH)
504 HAVENS CORNERS RD, Gahanna, OH 43230
Open in Google Maps ↗

Secondary Practice Location 1

Location 11577 Neil AveColumbus, OH 43201-2320 · Phone (614) 292-4041

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kathleen Shanor Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901397835
PECOS Enrollment IDI20251118003227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Shanor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eagle Exploration Company
3.0 mi
Internal Medicine
99 N BRICE RD STE 140
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1235871914 (614) 863-0013
Ohiohealth Corporation
3.1 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ELIZABETH BURNS MD
Family Medicine
504 HAVENS CORNERS RD
GAHANNA, OH 43230
Franklin County (614) 533-5300
JOSEPH G LUTZ M.D.
Family Medicine
504 HAVENS CORNERS RD
GAHANNA, OH 43230
Franklin County (614) 533-5300
ERIN KELLER CNP
Nurse Practitioner (Family)
504 HAVENS CORNERS RD
GAHANNA, OH 43230
Franklin County (614) 533-5300
DR. VERNEDA TROYER M.D.
Family Medicine
504 HAVENS CORNERS RD
GAHANNA, OH 43230
Franklin County (614) 533-5300
DR. JENNIFER RENEE KESWANI D.O.
Family Medicine
504 HAVENS CORNERS RD
GAHANNA, OH 43230
Franklin County (614) 533-5300
HAMAD FAMILY CHIROPRACTIC LLC
Clinic/Center
504 HAVENS CORNERS RD, SUITE A
GAHANNA, OH 43230
Franklin County (614) 471-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Shanor's NPI number?

The NPI number for Kelly Shanor is 1861294621. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Kelly Shanor located?

Kelly Shanor practices at 504 Havens Corners Rd, Gahanna, OH 43230. The listed phone number is (614) 533-5300.

What is Kelly Shanor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Shanor enrolled in Medicare?

Yes. Kelly Shanor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Shanor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shanor reassigns Medicare benefits to 2 organizations: Eagle Exploration Company (Columbus, OH) and Ohiohealth Corporation (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Shanor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Shanor affiliated with any hospitals?

According to CMS data, Kelly Shanor is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Kelly Shanor was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.